| NPI | 1538501549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60099339) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 2609) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2016-03-03 |